BlueAdvantageSM 2018 CMS Inpatient Only List

This list is produced by the Centers for Medicare and Medicaid Services and is subject to change at their discretion. 2 For up to date information, please check the CMS website.

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Predetermination Request Form - BlueCross …

CPT® is a Registered Trademark of the American Medical Association BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of …

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All Patient Refined DRGs (APR-DRGs) An Overview

All Patient Refined DRGs (APR-DRGs) An Overview Presented by Treo Solutions

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Quick Guide to - Health Insurance

Quick Guide to Blue Cross and/or Blue Shield Member ID Cards. 3. Alpha Prefix . The majority of Blue-branded ID cards display a . three-character alpha prefix

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Provider Administration Manual - Health Insurance

BlueCross BlueShield of Tennessee Provider Administration Manual ii VI. BILLING AND REIMBURSEMENT (cont’d) A. How to File a Claim (cont’d)

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Total Healthcare Management, Utilization …

• Reconsideration (when services are still active) – Provide additional information via web/phone/fax. • Peer-to-Peer (two dates and times required)

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Revised Behavioral Health Specific Billing …

Behavioral Health Specific Billing Guidelines The following information is intended to assist you when billing behavioral health professional and facility claims.

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Contact’s Name phone # fax # PART 1 (MUST BE …

BlueCross BlueShield of Tennessee Bariatric Surgery Precertification Request Form The BCBST Medical Policy for Bariatric Surgery for Morbid Obesity can be found at

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Provider Enrollment Form - BlueCross BlueShield …

Provider Enrollment Form-- Confi. dential --Completion and acceptance of this enrollment form by BlueCross BlueShield of Tennessee, Inc. is not a guarantee of network participation.

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Prior Authorization Requirements - Health Insurance

Prior Authorization Requirements . PLEASE READ: Authorization is not a confirmation of coverage or benefits.Payment of benefits remains subject to all health benefit plan terms, limits, conditions, exclusions, and the

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ICH guideline Q11 on development and …

A company can choose to follow different approaches in developing a drug substance. For the purpose of this guideline, the terms “traditional” and “enhanced” are used to differentiate two possible

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Dear Maryland Senior Prescription Drug Assistance …

Rev. 2/19/16 1 MARYLAND SENIOR PRESCRIPTION DRUG ASSISTANCE PROGRAM ENROLLMENT APPLICATION Dear Applicant: The Maryland Senior Prescription Drug Assistance Program (SPDAP) is pleased to provide you with the enclosed

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for the IC&RC Alcohol and Drug Counselor …

CANDIDATE GUIDE for the IC&RC Alcohol and Drug Counselor Examination Based on the 2013 Alcohol and Drug Counselor Job Analysis ©2017 International Certification and Reciprocity Consortium.

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Group Limited Accident & Sickness Plan - …

Includes access to National Provider Network - If utilized it can reduce your out of pocket costs Group Limited Accident & Sickness Plan - ENHANCED TIER 3

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Form RP-467:7/18:Application for Partial Tax …

Page 2 of 3 RP-467 (7/18) 6 List the income of each owner and spouse of each owner for the calendar year immediately preceding date of …

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22692 Federal Register /Vol. 83, No. 95/Wednesday, …

22692 Federal Register/Vol. 83, No. 95/Wednesday, May 16, 2018/Notices relationships between grantees and subrecipients. With this data, …